Mavitamini a chiwindi - ichi ndi chimodzi mwa zigawo zofunika kwambiri pazinthu zamagetsi m'thupi. Popeza chiwindi chimagwira ntchito zambiri, ma enzyme omwe amapangidwa ndi iwo amagawidwa m'magulu angapo: excretory, indicator ndi secretory. Ndi matenda osiyanasiyana ndi kuwonongeka kwa chiwindi m'magazi a m'magazi, mavitaminiwa amasintha. Chodabwitsa ichi ndicho chizindikiro chofunika chodziwitsa.
Ndi mitundu iti yomwe imayambitsa matenda a chiwindi?
Mavitamini a chiwindi, zomwe zingathe kuwonjezeka mu matenda omwe akuphatikizidwa ndi chiwonongeko cha hepatocytes, amatchedwa michenjezo ya zizindikiro. Izi zikuphatikizapo:
- glutamate dehydrogenase (Gldg);
- aspartate aminotransferase (AST);
- lactate dehydrogenase (LDH);
- gamma-glutamyltransferase (GGT);
- alanine aminotransferase (ALT).
Kawirikawiri, matenda a chiwindi amapatsidwa kuyesa kwa magazi pofuna kutsimikiza kwa mavitamini a AST ndi ALT. Kwa amayi, chizolowezi cha ACT ndi 20-40 U / l. Ndi mankhwala osokoneza bongo kapena opanikizika a hepatocytes, mavitamini ameneŵa amachulukitsa kwambiri ntchito.
Zomwe zimachitika m'magazi enkhanza ALT m'magazi ndi 12-32 U / l (akazi). Ndi matenda opatsirana, ntchito yawo imakula kwambiri - mowirikiza. Pankhaniyi, zizindikiro za matendawa zikhoza kukhala palibe. Ndicho chifukwa chake ALT imagwiritsidwa ntchito nthawi zambiri kuti azindikire chiwindi cha matenda a shuga pa nthawi yoyamba.
Chida china chozindikiritsa ndi cha Ritis coefficient (AST / ALT chiŵerengero). Munthu wathanzi, ndi 1.3.
Zowonjezera zowonjezereka kwa ma enzyme
Pochita zosiyana kwambiri ndi matenda, labotale akhoza kuonjezeranso kufufuza ndikupeza tizilombo toyambitsa matenda a chiwindi m'magazi. Pazirombo zosiyanasiyana za chiwindi, matenda opatsirana, poizoni ndi matenda opatsirana, gldg wodwalayo
Chigawo china cha michere ya chiwindi chimatumizidwa mu ducts. Amachita nawo chimbudzi. Enzyme imeneyi ndi zamchere phosphatase. Kawirikawiri zomwe zili m'mchere zamchere siziyenera kupitirira 120 U / l. Koma ngati njira zamagetsi zamagetsi zimaphwanyidwa, ndondomekoyi imakula pafupifupi 400 U / l.